Doctor Name: | ASHTON S HOFSTAD |
NPI Number: | 1285079913 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 39699 |
Business Practice Address: | 809 Sunset Blvd Conrad, MT - 594251799 |
Business Phone Number: | 4062713231 |
Business Fax Number: | 4062713576 |
Mailing Address: | 809 Sunset Blvd, CONRAD |
State: | MT |
Postal Code: | 594251799 |
Phone Number: | 4062713231 |
Fax Number: | 4062713576 |
NPI Enumeration Date: | 05/08/2013 |
NPI Last Update Date: | 04/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 39699 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |